The Lincs & Notts Air Ambulance is an air ambulance based at RAF Waddington which covers the administrative counties of Lincolnshire and Nottinghamshire and the unitary authorities of Nottingham, North East Lincolnshire and North Lincolnshire, England. The Lincolnshire and Nottinghamshire Air Ambulance Charitable Trust is a registered charity that derives a large percentage of its funding from donations. History A group of consultants at the Pilgrim Hospital proposed a helicopter service to ferry seriously ill patients to specialist units at other hospitals, avoiding the lengthy transfer times associated with Lincolnshire's road system. A charitable trust was formed on 9 February 1993. The Lincolnshire Air Ambulance became operational at RAF Waddington in April 1994. Owing to the proximity of Waddington to Nottinghamshire, the service was extended to Nottinghamshire in 1997. In the year to March 2021, the charity raised income of £7.6million, including £95,000 of government grants. Expenditure was £8.2M, of which £6.7M was used to operate the charitable service. Operational service Its management has close co-operation (although not financial) with the East Midlands Ambulance Service (EMAS), who request assistance if a patient requires urgent medical treatment and transfer to a hospital Emergency Department. Other air ambulances in the Midlands are straddled over several counties; Lincolnshire is the largest administrative county in central England, and the air ambulance is particularly beneficial given the width and undulating character of the Fen roads across the east of the county. More-seriously injured patients are normally ferried to the Queen's Medical Centre in Nottingham or Hull Royal Infirmary rather than Boston, Grantham, Lincoln or Scunthorpe. In November 2013, the service completed its full night mission, responding to the scene and delivering the casualty to hospital in the hours of darkness with a single pilot. The Lincs and Notts service has trained all its Paramedic aircrew in the use of night vision goggles, which alleviates the need for two pilot operations, expanding the skill set of the aircrew. In the July 2015, the operational crew moved into a new purpose designed building at RAF Waddington, moving from the old V-bomber standby building the crew had used since 1994. The new building provides much more space and comes complete with a training and meeting room, ops room, crew room and several other needed improvements. The helicopter is fully night equipped including a search light. Normally flying within the hours of 7 am to 7 pm, in early